PATRICK BRYAN CAMERON DMD Dentist License verification

Business Entity

NOT RENEWED

License Type

Dentist

Description

LICENSED DENTIST CONTROLLED SUBSTANCE

License Number

31*****69

License Status

NOT RENEWED

Business

Title

DMD

First Name

PATRICK

Middle

BRYAN

Last Name

CAMERON

Business Name

PATRICK BRYAN CAMERON DMD

Original Issue Date

06/06/2016

Effective Date

06/06/2016

Expiration Date

09/30/2018

City

SESSER

State

Zip

62884

Specialty/Qualifier

PRACTITIONER

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

10/31/2018